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January 22, 2019; 92 (4) Clinical/Scientific Notes

Acute frontal eye field infarction

A topodiagnostic challenge

View ORCID ProfileFranziska S. Thaler, View ORCID ProfileCarolin Koriath, Christian Vollmar, View ORCID ProfileStanislavs Bardins, Olympia Kremmyda, View ORCID ProfileAdrian Danek
First published December 28, 2018, DOI: https://doi.org/10.1212/WNL.0000000000006813
Franziska S. Thaler
From the Institute of Clinical Neuroimmunology, University Hospital and Biomedical Center (F.S.T.), and Department of Neurology (C.K., C.V., O.K., A.D.) and German Center for Vertigo and Balance Disorders (S.B., O.K.), University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany; and Institute of Neurology (C.K.), University College London, Queen Square, UK.
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  • ORCID record for Franziska S. Thaler
Carolin Koriath
From the Institute of Clinical Neuroimmunology, University Hospital and Biomedical Center (F.S.T.), and Department of Neurology (C.K., C.V., O.K., A.D.) and German Center for Vertigo and Balance Disorders (S.B., O.K.), University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany; and Institute of Neurology (C.K.), University College London, Queen Square, UK.
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Christian Vollmar
From the Institute of Clinical Neuroimmunology, University Hospital and Biomedical Center (F.S.T.), and Department of Neurology (C.K., C.V., O.K., A.D.) and German Center for Vertigo and Balance Disorders (S.B., O.K.), University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany; and Institute of Neurology (C.K.), University College London, Queen Square, UK.
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Stanislavs Bardins
From the Institute of Clinical Neuroimmunology, University Hospital and Biomedical Center (F.S.T.), and Department of Neurology (C.K., C.V., O.K., A.D.) and German Center for Vertigo and Balance Disorders (S.B., O.K.), University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany; and Institute of Neurology (C.K.), University College London, Queen Square, UK.
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Olympia Kremmyda
From the Institute of Clinical Neuroimmunology, University Hospital and Biomedical Center (F.S.T.), and Department of Neurology (C.K., C.V., O.K., A.D.) and German Center for Vertigo and Balance Disorders (S.B., O.K.), University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany; and Institute of Neurology (C.K.), University College London, Queen Square, UK.
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Adrian Danek
From the Institute of Clinical Neuroimmunology, University Hospital and Biomedical Center (F.S.T.), and Department of Neurology (C.K., C.V., O.K., A.D.) and German Center for Vertigo and Balance Disorders (S.B., O.K.), University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany; and Institute of Neurology (C.K.), University College London, Queen Square, UK.
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Citation
Acute frontal eye field infarction
A topodiagnostic challenge
Franziska S. Thaler, Carolin Koriath, Christian Vollmar, Stanislavs Bardins, Olympia Kremmyda, Adrian Danek
Neurology Jan 2019, 92 (4) 193-195; DOI: 10.1212/WNL.0000000000006813

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Conjugate eye movements are controlled via a complex circuit including the inferior parietal lobule, frontal eye field (FEF), dorsolateral prefrontal cortex, superior colliculus, cerebellum, as well as oculomotor and vestibular nuclei in the brainstem.1 Various lesions within this network may cause abnormalities of gaze; we present a case demonstrating the challenges of localizing the causal site for acute conjugate eye deviation (CED).

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  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • CME Course: NPub.org/cmelist

  • Received April 5, 2018.
  • Accepted in final form October 19, 2018.
  • © 2018 American Academy of Neurology
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